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Hospital - MacKenzie and District Hospital Category - All indicators Select a different category   Legend for Risk Adjusted Rates: BLUE Better than the British Columbia average for the selected year. WHITE Not different from the British Columbia average for the selected year. RED Worse than the British Columbia average for the selected year. - No data were available for this year. DEFINITIONS: Rank All institutions were ranked on each indicator based on their scores, where the highest rank of 1 corresponds to the highest score out of 100. Volume indicators were not ranked since they have threshold requirements. Score The score indicates how well a hospital performs on a given indicator, based on its risk adjusted rate where a score of 100 is the highest. Risk adjusted rate Measures the observed rate adjusted for differences in patients’ age, sex, and the presence of complications. Observed rate Measures the outcome of interest compared to population at risk. British Columbia average/total This value is the risk adjusted average (British Columbia average) or total (British Columbia total) of an indicator across all acute care hospitals in British Columbia. Post-operative physiologic and metabolic derangements Development of disorders that interfere with biochemical processes within the body including kidney failure and diabetes occurring in patients after an elective surgery. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed (per thousand) - - - - - - - - Risk adjusted (per thousand) - - - - - - - - British Columbia average (per thousand) 0.1 0.1 0.1 0.1 0.1 0.4 0.6 0.5 Compare this indicator against other hospitals in British Columbia Post-operative respiratory failure Development of respiratory failure occurring in patients after undergoing elective surgery. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed (per thousand) - - - - - - - - Risk adjusted (per thousand) - - - - - - - - British Columbia average (per thousand) 0.8 1.4 1.7 2.1 1.9 2.7 2.9 3.6 Compare this indicator against other hospitals in British Columbia Post-operative sepsis Patients that undergo elective surgeries and subsequently develop a hospital-acquired infection. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed (per thousand) - - - - - - - - Risk adjusted (per thousand) - - - - - - - - British Columbia average (per thousand) 3.2 4.1 4.6 4.3 4.2 6.2 5.5 8.2 Compare this indicator against other hospitals in British Columbia Accidental puncture or laceration Accidental cut or wound during a procedure. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank View View View View View View View View Score View View View View View View View View Observed (per thousand) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Risk adjusted (per thousand) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 British Columbia average (per thousand) 5.0 5.2 4.9 4.3 3.9 4.5 4.7 4.6 Compare this indicator against other hospitals in British Columbia Transfusion reaction Patients with blood transfusion reactions. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank View View View View View View View View Score View View View View View View View View Observed (per thousand) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Risk adjusted (per thousand) - - - - - - - - British Columbia average (per thousand) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Compare this indicator against other hospitals in British Columbia Birth trauma Birth trauma for infants born alive in a hospital. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank View View View View View View - - Score View View View View View View - - Observed (per thousand) 0.0 0.0 0.0 0.0 0.0 0.0 - - Risk adjusted (per thousand) 0.0 0.0 0.0 0.0 0.0 0.0 - - British Columbia average (per thousand) 3.4 4.4 3.2 2.4 2.7 2.5 2.4 2.5 Compare this indicator against other hospitals in British Columbia Obstetric trauma - vaginal with instrument Cases of potentially preventable trauma (4th degree lacerations, other obstetric lacerations) during vaginal delivery with an instrument. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed (per thousand) - - - - - - - - Risk adjusted (per thousand) - - - - - - - - British Columbia average (per thousand) 111.4 114.9 133.4 126.4 134.6 142.6 138.2 139.3 Compare this indicator against other hospitals in British Columbia Obstetric trauma - vaginal without instrument Cases of potentially preventable trauma (4th degree lacerations, other obstetric lacerations) during vaginal delivery without an instrument. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank View View View View View View - - Score View View View View View View - - Observed (per thousand) 111.1 71.4 111.1 0.0 0.0 0.0 - - Risk adjusted (per thousand) 108.2 67.8 107.8 0.0 0.0 0.0 - - British Columbia average (per thousand) 27.2 25.5 27.5 30.2 29.0 29.0 29.8 32.9 Compare this indicator against other hospitals in British Columbia Death in low mortality DRG Deaths among patients that are considered unlikely to die in the hospital. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank View View View View View View View View Score View View View View View View View View Observed (per thousand) 0.0 0.0 0.0 10.5 0.0 0.0 0.0 0.0 Risk adjusted (per thousand) - - - - - - - - British Columbia average (per thousand) 1.2 1.1 1.4 1.4 1.3 1.4 1.3 1.4 Compare this indicator against other hospitals in British Columbia Obstetric trauma - cesarean section Cases of potentially preventable trauma (4th degree lacerations, other obstetric lacerations) during Cesarean delivery. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed (per thousand) - - - - - - - - Risk adjusted (per thousand) - - - - - - - - British Columbia average (per thousand) 10.4 12.7 16.5 13.3 12.3 12.4 11.9 12.8 Compare this indicator against other hospitals in British Columbia Decubitus ulcer Pressure sores that develop when a patient lies on his or her back for extended periods. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank View View View View View View View View Score View View View View View View View View Observed (per thousand) 0.0 0.0 0.0 0.0 17.2 0.0 0.0 0.0 Risk adjusted (per thousand) 0.0 0.0 0.0 0.0 36.8 0.0 0.0 0.0 British Columbia average (per thousand) 4.2 3.7 4.3 4.8 4.5 5.7 5.5 5.8 Compare this indicator against other hospitals in British Columbia Failure to Rescue Deaths in patients that developed specified complications of care during hospitalization. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed (per thousand) - - - - - - - - Risk adjusted (per thousand) - - - - - - - - British Columbia average (per thousand) 239.7 221.6 215.9 203.4 180.6 199.1 189.2 196.1 Compare this indicator against other hospitals in British Columbia Foreign body left during procedure Foreign object left in a patient during a procedure. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank View View View View View View View View Score View View View View View View View View Observed (per thousand) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Risk adjusted (per thousand) - - - - - - - - British Columbia average (per thousand) 0.1 0.1 0.1 0.1 0.1 0.1 0.1 0.1 Compare this indicator against other hospitals in British Columbia Iatrogenic pneumothorax The collapse of a patient’s lung inadvertently induced by a physician or medical treatment. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank View View View View View View View View Score View View View View View View View View Observed (per thousand) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Risk adjusted (per thousand) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 British Columbia average (per thousand) 0.2 0.2 0.2 0.3 0.2 0.3 0.2 0.2 Compare this indicator against other hospitals in British Columbia Selected infections due to medical care Cases of infection due to medical care, primarily those related to intravenous (IV) lines and catheters. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank View View View View View View View View Score View View View View View View View View Observed (per thousand) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Risk adjusted (per thousand) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 British Columbia average (per thousand) 0.4 0.4 0.3 0.4 0.2 0.3 0.4 0.2 Compare this indicator against other hospitals in British Columbia Esophageal resection surgery volume view methodology Numbers of procedures involving the surgical removal of the tube that connects the mouth to the stomach, often due to esophageal cancer. Numbers above 6 are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia total - - - - - - - - Compare this indicator against other hospitals in British Columbia Coronary Artery Bypass Graft (CABG) mortality rate Deaths due to surgery performed to allow blood to bypass a clogged artery. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia average 9.74% 10.10% 9.34% 8.14% 8.25% 6.68% 5.34% 5.14% Compare this indicator against other hospitals in British Columbia Craniotomy mortality rate Deaths due to the surgical opening of the skull performed to remove a brain tumor, repair an aneurysm (ballooning of blood vessels), perform a biopsy or to relieve pressure inside the skull. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia average 7.12% 8.94% 10.32% 7.05% 8.14% 8.42% 8.90% 7.03% Compare this indicator against other hospitals in British Columbia Hip replacement mortality rate Deaths due to hip replacement surgery. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia average 0.60% 0.82% 0.72% 0.58% 0.37% 0.47% 0.72% 0.56% Compare this indicator against other hospitals in British Columbia Acute myocardial infarction (AMI) mortality rate Deaths from heart attacks. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia average 24.58% 21.65% 21.88% 20.21% 22.05% 18.28% 14.45% 13.76% Compare this indicator against other hospitals in British Columbia Congestive heart failure (CHF) mortality rate Deaths due to heart failure. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - View - - - - Score - - - View - - - - Observed - - - 16.67% - - - - Risk adjusted - - - 100.00% - - - - British Columbia average 17.11% 17.58% 20.05% 17.78% 18.70% 16.93% 14.90% 13.57% Compare this indicator against other hospitals in British Columbia Acute Stroke mortality rate Deaths from acute strokes. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia average 37.20% 34.49% 34.51% 30.82% 28.60% 28.15% 27.37% 27.01% Compare this indicator against other hospitals in British Columbia Gastrointestinal hemorrhage mortality rate Deaths due to bleeding from the esophagus, stomach, small intestine or colon. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank View - - - View - - - Score View - - - View - - - Observed 0.00% - - - 0.00% - - - Risk adjusted 0.00% - - - 0.00% - - - British Columbia average 5.60% 5.11% 4.41% 4.48% 4.51% 5.89% 5.29% 5.54% Compare this indicator against other hospitals in British Columbia Hip fracture mortality rate. Deaths due to hip fractures. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia average 19.77% 15.92% 18.49% 19.54% 17.38% 13.02% 10.80% 10.72% Compare this indicator against other hospitals in British Columbia Pancreatic resection surgery volume view methodology Numbers of procedures involving the surgical removal of the pancreas in an attempt to cure pancreatic cancer. Numbers above 10 are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia total - - - - - - - - Compare this indicator against other hospitals in British Columbia Pneumonia mortality rate Death due to a condition involving an infection in the lungs. Lower rates are more desirable. The results for the Pneumonia mortality rate indicator may be affected by a potential data quality issue, owing to miscoding of activities at the hospital level. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank View View View View - View View - Score View View View View - View View - Observed 0.00% 10.00% 0.00% 0.00% - 0.00% 16.67% - Risk adjusted 0.00% 56.73% 0.00% 0.00% - 0.00% 18.17% - British Columbia average 20.85% 19.33% 19.15% 17.15% 18.21% 19.64% 19.14% 17.95% Compare this indicator against other hospitals in British Columbia Cesarean delivery Surgical removal of a baby through the mother's abdomen. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank View View View View View View - - Score View View View View View View - - Observed 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% - - Risk adjusted 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% - - British Columbia average 27.81% 28.07% 27.85% 28.99% 29.85% 30.16% 30.85% 30.31% Compare this indicator against other hospitals in British Columbia Vaginal birth after cesarean (VBAC), uncomplicated Rate of vaginal births that occurred in mothers who had delivered previously by Cesarean section. Higher rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia average 22.67% 20.33% 20.15% 17.86% 16.85% 16.40% 16.61% 19.03% Compare this indicator against other hospitals in British Columbia Laparoscopic cholecystectomy Minimally invasive removal of the gall bladder, a small pear-shaped sac that stores and concentrates bile, which is needed for digestion. Higher rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia average 79.97% 79.64% 81.09% 80.82% 82.45% 82.18% 83.71% 85.48% Compare this indicator against other hospitals in British Columbia Percutaneous Transluminal Coronary Angioplasty (PTCA) mortality rate Deaths due to a non-surgical procedure performed to open blockages in the arteries that carry blood to the heart. Lower rates are more desirable. It is recommended that this indicator be examined in conjunction with Percutaneous Transluminal Coronary Angioplasty volume (PTCA). See explanation. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia average 3.23% 3.45% 2.95% 2.52% 0.76% 0.75% 0.67% 0.69% Compare this indicator against other hospitals in British Columbia Carotid endarterectomy mortality rate Deaths due to a procedure that removes blockages from arteries in the neck to reduce the chance of stroke and brain damage. Lower rates are more desirable. It is recommended that this indicator be examined in conjunction with Carotid endarterectomy volume. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia average 2.96% 1.83% 1.88% 0.97% 1.68% 1.45% 1.36% 1.31% Compare this indicator against other hospitals in British Columbia Acute myocardial infarction (AMI) mortality rate (without transfers) Deaths from heart attacks; excludes patients transferred from another short term hospital. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia average 27.62% 23.62% 23.88% 22.24% 24.79% 20.28% 16.94% 16.73% Compare this indicator against other hospitals in British Columbia Primary cesarean delivery Surgical removal of a baby through the mother's abdomen during the first birth inclusively. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank View View View View View View - - Score View View View View View View - - Observed 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% - - Risk adjusted 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% - - British Columbia average 21.95% 21.87% 21.57% 22.13% 22.43% 22.91% 23.42% 23.08% Compare this indicator against other hospitals in British Columbia Vaginal birth after cesarean (VBAC), all Rate of vaginal births that occurred in mothers who had delivered previously by Cesarean section. Higher rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia average 22.82% 20.42% 20.61% 18.29% 16.98% 16.78% 16.73% 19.25% Compare this indicator against other hospitals in British Columbia Coronary Artery Bypass Graft (CABG) volume view methodology Numbers surgeries performed to allow blood to bypass a clogged artery. Numbers above 100 are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia total - - - - - - - - Compare this indicator against other hospitals in British Columbia Percutaneous Transluminal Coronary Angioplasty volume (PTCA) view methodology Number of procedures performed to open blockages in the arteries that carry blood to the heart. Numbers above 200 are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia total - - - - - - - - Compare this indicator against other hospitals in British Columbia Carotid endarterectomy volume view methodology Number of procedures performed to remove blockages from arteries in the neck to reduce the chance of stroke and brain damage. Numbers above 50 are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia total - - - - - - - - Compare this indicator against other hospitals in British Columbia Esophageal resection surgery mortality rate Deaths due to the surgical removal of the tube that connects the mouth to the stomach, often due to esophageal cancer. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia average 6.10% 26.46% 10.08% 21.66% 0.00% 12.53% 14.56% 11.51% Compare this indicator against other hospitals in British Columbia Pancreatic resection surgery mortality rate Deaths due to the surgical removal of the pancreas in an attempt to cure pancreatic cancer. Lower rates are more desirable. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia average 16.88% 15.37% 2.87% 12.04% 17.13% 16.79% 9.44% 15.29% Compare this indicator against other hospitals in British Columbia Percutaneous Transluminal Coronary Angioplasty (PTCA) mortality rate (Experimental) Deaths due to a non-surgical procedure performed to open blockages in the arteries that carry blood to the heart. Lower rates are more desirable. Includes "out of hospital" procedures, and attributes rates to the hospital at which the procedure was performed. See explanation. It is recommended that this indicator be examined in conjunction with Percutaneous Transluminal Coronary Angioplasty volume (PTCA) (Experimental). See explanation. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia average - - - - - - 0.54% 0.54% Compare this indicator against other hospitals in British Columbia Percutaneous Transluminal Coronary Angioplasty volume (PTCA) (Experimental) view methodology Number of procedures performed to open blockages in the arteries that carry blood to the heart. Numbers above 200 are more desirable. Includes "out of hospital" procedures, and attributes numbers to the hospital at which the procedure was performed. See explanation. MEASURE Year 01-02 02-03 03-04 04-05 05-06 06-07 07-08 08-09 Rank - - - - - - - - Score - - - - - - - - Observed - - - - - - - - Risk adjusted - - - - - - - - British Columbia total - - - - - - - - Compare this indicator against other hospitals in British Columbia

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